Valet Employee Update Form

SECTION 1 OF 3

Thank you for completing Butler's employee update. This section should take roughly 10-15 minutes to complete.

REQUIRED ITEMS:
-Drivers License
-Camera (cell phone okay) and/or scanner

If you are on a mobile device: Exiting out of your browser may cause you to have to re-enter all of your information. Take a headshot and a picture of your license on top of a dark background now.
General Butler Employee Info
Todays Date*
ex: April 15th 2014 = 04.15.2014
Legal Name*

First NameLast Name
Nickname
Birth Date*

MonthDayYear
House/"Group" association*
E-mail*
Your Permanent Address should be your parents address or similar - for payroll, year end tax forms, long term employment verification, future correspondence. Your Local Address should be your house/ apartment/ fraternity and is for coordinating rides, etc.
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Local Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please confirm below whether or not your Permanent Address is the address that is currently on file with payroll (i.e. go find a paystub)
The permanent address listed above is the SAME address I have on file with payrollThe permanent address listed above is DIFFERENT from the address I have on file with payroll, and I want my permanent address updated

Equipment Checkout

Leads only
If you are not a lead, you may just press "next" at the bottom of this page. Leads- please list what equipment you currently have, and any identifying information that may be on that equipment.

Leads: Expand this section
Keyboards/ Keyboxes
How many?
Style:

New style keybox (Sprayed with Rhino lining)Old style keybox (Just black paint)Keyboard (Just hooks, no box)Other
If new, please list the box's ID number, located on the interior of the box, on its base:
Umbrellas
How many?
Signs
How many?
Please list the ID numbers (not every sign has one) for the signs, written in sharpie, located on the hinges:
Extra Equipment
Please list any extra equipment you have for your valets, if any:
Think shirts, coats, pens, flashlights, etc
What do you need from Butler to be a more successful lead? Is any of your equipment sub-standard? Are you missing any equipment?
Please explain:

Identifying Information
My social security number is on file with Butler*

YesNo
Please have a digital camera, phone camera, or scanner available for the section below. One recommended way to upload is: take pictures on your phone (or your friend's), email them to yourself/save them on your computer, and upload them here.
Drivers License
Drivers license number:*
Please include all letters, numbers, and symbols
State*
Expiration date*
Please upload a picture/scan of the front of your drivers license below (max size: 4mb). If taking a picture, please use good lighting and place your license on a dark background.
Drivers license

Upload a File

Cancelof
"Let me take a selfie"

Smile! Please upload a headshot (shoulders and up) here.
Headshot*

Upload a File

Cancelof

Driving Record
Do you have any significant traffic violations on your record?*

YesNo
If yes, please explain:
Do you have any traffic infractions on your record in the last 3 years?*

YesNo
If yes, please list them here:
Please check the box below to confirm that the above information is correct, and to give Butler permission to pull your driving record/abstract from the DOL to verify this, if necessary.
I confirm that the above is correct and true, and give permission to Butler Seattle to pull my driving record/abstract from the DOL
After pressing "submit," please continue on and complete sections 2 (Employee Availability) and 3 (IRS Forms) of the Butler Employee Update.
Name - House/"Group" Association
#case:valetapplication
Should be Empty:

General Butler Employee Info